Khaled Ahmed Fawaz, M.D

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

P03507 Issued in NY

Practice address

5 E 98TH St # 1188
Box 1188
New York, NY 10029-6501

Phone

(212) 241-1621

NPI assigned

Sep 25, 2016

Last updated

Sep 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474761600000",
    "number": "1821547324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "ROOM 908, BOX 1188",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST # 1188",
            "address_2": "BOX 1188",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWAZ",
        "first_name": "KHALED",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-25",
        "last_updated": "2016-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "P03507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Margaux Favorito
• Dahlia Favreau-Herz, M.D.
• Emily Favreau, PT, DPT
• Elliot J Favus, M.D.
• Daniel Fawaz, MD
• Rashid Fawwaz, MD
• Fay Mizue Ohsumi, MD PLLC
• Allen Fay, MD
• Asa William Fay
• Christopher John Fay, MD

• General Acute Care Hospital in New York, NY
• Providers in New York, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.